ANVA Balance
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Tandem Lateral Shift

Narrow Base Advanced Challenge

AM-LAT-11

Setup / stance
Stand heel-to-toe in full tandem stance
Clinical focus
Lateral shift control with very narrow BOS, hip strategy, balance recovery
Patient instruction
Stand heel-to-toe with one foot directly in front of the other. Move the dot to the left target and return to center, then move the dot to the right target and return to center. Keep your feet in place and do not step.
Therapist cue
Watch step-outs, trunk lean, loss of tandem alignment, delayed center recovery
Primary metrics
Accuracy, center return, balance corrections, step-out events
Progression / regression
Semi tandem → tandem → tandem on foam
Safety / guarding
Mandatory close guarding
Tandem Lateral Shift · ANVA Balance